Sterling Village

In the surveyor’s words

From the most serious findings on record at Sterling Village, in the surveyor’s own words.

• Actual harm, isolatedF689Jan 23, 2025

  The facility had a census of 26 residents. The sample included 12 residents, with seven reviewed for falls. Based on observation, record review, and interview, the facility failed to follow two residents' care plans: Resident (R) 128, who sustained a tibia (bone of the lower leg) fracture (break) during ambulation, and R4, who slid off the bed while on a bed pan. This placed the residents at risk for further falls and avoidable injury. Findings included: - The Electronic Medical Record (EMR) for R128 documented diagnoses of Alzheimer's disease (a progressive mental deterioration characterized by confusion and memory failure), anxiety (mental or emotional reaction characterized by apprehension, uncertainty, and irrational fear), diabetes mellitus (DM - when the body cannot use glucose, not… […]

• Actual harm, isolatedF689Jan 4, 2023

  The facility had a census of 36 residents. The sample included 12 residents, with four reviewed for accidents/falls. Based on observation, interview, and record review the facility failed to use an appropriate lift sling during a mechanical lift transfer, which resulted in Resident (R) 6 falling out of a lift sling resulting in a head laceration, hematoma (collection of blood under the skin from an injury), and pain. The facility further failed to implement new interventions to prevent further falls for R14, who had multiple falls. This placed the residents at risk for further falls and fall-related injury. […]

• No harm, potential for more than minimal, widespreadF801Jan 23, 2025

  The facility had a census of 26 residents. The sample included 12 residents. Based on observation, record review, and interview, the facility failed to employ a full-time certified dietary manager for the 26 residents who resided in the facility and received meals from the facility kitchen. This placed the residents at risk for inadequate nutrition. Findings included: - On 01/22/24, a review of the noon meal consisted of meatloaf, peas, mashed potatoes, and gravy On 01/22/24 at 11:00 AM, observation revealed Dietary Staff BB in the kitchen overseeing the preparation of the noon meal. On 01/21/24 at 08:28 AM, Dietary Staff BB verified he was not a Certified Dietary Manager (CDM). […]

• No harm, potential for more than minimal, widespreadF812Jan 23, 2025

  The facility had a census of 26 residents. The sample included 12 residents. Based on observation, record review, and interview, the facility failed to store, prepare, distribute, and serve food by professional standards for food service safety in the facility kitchen. This placed the residents who received their meals from the facility's kitchens at risk for foodborne illness. Findings included: - On 01/21/24 at 09:45 AM, observation in the kitchen revealed a two-door refrigerator had three unlabeled undated orange jello and two cottage cheese Styrofoam cups. On 01/21/24 at 08:50 AM, Dietary Staff (DS) BB verified the above finding and stated staff should label and date food before they place it in the refrigerator. […]

• No harm, potential for more than minimal, widespreadF880Jan 23, 2025

  The facility had a census of 26 residents. The sample included 12 residents. Based on record review and interview, the facility failed to implement a water management program for waterborne pathogens including Legionella disease (Legionella is a bacterium that can cause pneumonia in vulnerable populations). This placed the residents in the facility at risk for infectious disease. Findings included: - On 01/22/25 at 02:51 PM, Maintenance Staff U stated he did not have any type of diagram of the facility's water system or a water management program in place to prevent the growth of Legionella or any other water-borne pathogen. […]